| NPI | 1124401609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: SC 90136) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 331222) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: LA 331222) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: LA 331222) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-08-24 |